J Magn Reson Imaging. 2025 Aug 4. doi: 10.1002/jmri.70056. Online ahead of print.
ABSTRACT
BACKGROUND: The effect of the positron emission tomography (PET) modality in hybrid PET/MR scanners on MR spectral quality is unclear.
PURPOSE: To evaluate spectral quality, quantification, and repeatability of brain MR spectroscopy (MRS) acquired on PET/MR and standalone MR scanners.
STUDY TYPE: Prospective.
SUBJECTS: 23 healthy adults (male/female = 11/12, age = 27 ± 11 years).
FIELD STRENGTH/SEQUENCE: 3T, semi-localized by adiabatic selective refocusing.
ASSESSMENT: Single voxel MR spectra were acquired with GE Signa PET/MR and Siemens Prisma Fit MR scanners in healthy volunteers, and additionally with a GE Premier MR scanner in vitro. Spectral quality, metabolite concentrations, and repeatability were evaluated.
STATISTICAL TESTS: Linear mixed models assessed signal-to-noise ratio (SNR), full width at half maximum (FWHM), and metabolites/total creatine (tCr). Intraclass correlation coefficients (ICCs) determined repeatability; mean squared error (MSE) evaluated accuracy of quantification. Values are reported as mean ± standard deviation. Significance was determined by p ≤ 0.05.
RESULTS: In vivo spectra acquired using the Siemens standalone MR showed significantly higher SNR (PET/MR: 118.8 ± 19.1, MR: 132.2 ± 24.4) but significantly broader FWHM (PET/MR: 7.2 ± 1.8 Hz, MR: 8.4 ± 2.5 Hz) compared to PET/MR. All metabolite ratios were significantly higher in spectra acquired on the standalone MR. Within-session repeatability was good (ICC > 0.75), and between-session repeatability was moderate to excellent (ICC 0.5 to > 0.90) for all metabolites in vivo. In vitro spectra acquired with the PET/MR had significantly higher SNR (329.1 ± 46.1) than the Siemens standalone MR (150.8 ± 49.3) but significantly lower than the GE standalone MR (395.9 ± 33.7). The PET/MR produced narrower FWHM (2.1 ± 0.4 Hz) than the Siemens standalone MR (4.1 ± 1.7 Hz) but broader than the GE standalone MR (1.6 ± 0.1 Hz) and lower MSE for some metabolites.
DATA CONCLUSION: MR spectral quality appears uncompromised when acquired with hybrid PET/MR compared to standalone MR.
PMID:40758419 | DOI:10.1002/jmri.70056
